Department Of Mental Health | |
4095 County Circle Dr Riverside CA 92503-3410 | |
(951) 358-4613 | |
(951) 358-6868 |
Full Name | Department Of Mental Health |
---|---|
Speciality | Social Worker - Clinical |
Location | 4095 County Circle Dr, Riverside, California |
Authorized Official Name and Position | Jerry A Wengerd (DIRECTOR DEPT OF MENTAL HEALTH) |
Authorized Official Contact | 9513584500 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Department Of Mental Health Po Box 7549 Riverside CA 92513-7549 Ph: (951) 358-6900 | Department Of Mental Health 4095 County Circle Dr Riverside CA 92503-3410 Ph: (951) 358-4613 |
NPI Number | 1184796575 |
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Provider Enumeration Date | 11/14/2006 |
Last Update Date | 05/16/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1184796575 | NPI | - | NPPES |
33BF | Medicaid | CA | |
00F33 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (California) | Primary |
251S00000X | Community/behavioral Health | 00033 (California) | Secondary |
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